Individual provider Active NPI

Karin H Satra, MD

  • Dermatology Physician
  • Ridgewood, NJ
National Provider Identifier
1619072303
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MA583077 Issued in NJ
Practice address
400 Route 17 South
Ridgewood, NJ 07450
Phone
(201) 652-4536
Fax
(201) 652-4906
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MA583077 NJ Primary

Addresses

Primary practice location

400 Route 17 South
Ridgewood, NJ 07450

Mailing address

400 Route 17 South
Ridgewood, NJ 07450
Phone (201) 652-4536

Other identifiers 1

IdentifierTypeStateIssuer
7613407MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000670 NJ Practitioner - Dermatology 3779743257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bergen Dermatology Specialists PAGroup PAC ID 3870750292, 6 clinicians

Practice addresses (Care Compare)

180 Ramapo Valley Rd
Oakland, NJ 07436-2500
Phone (201) 337-5100

400 Route 17
Ridgewood, NJ 07450-2010
Phone (201) 652-4536

400 Route 17 S
Ridgewood, NJ 07450-2010

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1336
Removal or shaving of skin growth17
Skin biopsy1036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA583077NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen Dermatology Specialists PA Dermatology CurrentSince May 18, 1993 Accepting new patients

Locations

180 Ramapo Valley Rd
Oakland, NJ 07436
Phone (201) 337-3797

400 State Rt 17
Ste 1
Ridgewood, NJ 07450
Phone (201) 445-8600

400 State Rt 17
Ridgewood, NJ 07450
Phone (201) 445-2288

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: satraka@direct.nyp.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619072303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROUTE 17 SOUTH",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-652-4536",
            "fax_number": "201-652-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROUTE 17 SOUTH",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-652-4536",
            "fax_number": "201-652-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATRA",
        "first_name": "KARIN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA583077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7613407",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.